Adhesive tape for an intravascular catheter

ABSTRACT

The present invention discloses an adhesive tape to secure an intravascular catheter to the skin of a patient at an intravascular site comprising: (a) a strip of tape having adhesive on all of one side except for portions at the ends, the strip of tape having a length of about 15 mm to about 300 mm and width of about 4 mm to about 30 mm; (b) two removable covers affixed near the ends of the adhesive side of the strip, wherein the removable covers are separated from each other by a centrally located portion of the strip of tape; and (c) a third removable cover affixed to the central portion of the adhesive side of the strip of tape. The subject invention further reveals a sterile intravascular starter kit, said kit being comprised of the adhesive tape for an intravascular catheter, a tourniquet, a gauze pad, an antiseptic skin preparation device, optionally a towel, and a clear occlusive dressing.

This application is a divisional and a continuation-in-part of U.S.patent application Ser. No. 11/154,869, filed on Jun. 16, 2005, whichclaims the benefit of U.S. Provisional Patent Application Ser. No.60/583,565 filed on Jun. 28, 2004, and U.S. Provisional PatentApplication Ser. No. 60/685,347 filed on May 27, 2005. This patentapplication incorporates the teachings of U.S. patent application Ser.No. 11/154,869, U.S. Provisional Patent Application Ser. No. 60/583,565,and U.S. Provisional Patent Application Ser. No. 60/685,347herein byreference in their entirety.

FIELD OF THE INVENTION

This invention relates to intravascular catheters. More particularly,this invention relates to an intravascular catheter adhesive tape foraffixing the catheter to an intravascular site on the skin of a human oranimal patient.

BACKGROUND OF THE INVENTION

Intravascular catheters are used to supply liquids directly into apatient's bloodstream. An intravascular catheter consists of a flexibletube attached to a hollow plastic hub. An intravascular catheter istypically inserted using an integral stylet. A stylet is a hollow metalneedle that fits within and extends beyond the flexible tube of thecatheter. The stylet is used to puncture the patient's skin and enterthe blood vessel. After the stylet is inserted through the skin into thepatient's blood vessel, it is removed to leave only the flexible tubewithin the blood vessel. The hub is then secured to the patient's bodybefore it is connected to a source of liquids.

A conventional procedure for securing the intravascular catheter isshown in FIGS. 1 to 4. Referring to FIG. 1, a conventional intravascularcatheter 10 comprises a tube 11, a hub 12, two wings 13, and a port 14for connection to a liquid reservoir. However, some intravascularcatheters do not include wings. Referring to FIG. 2, the intravascularcatheter is inserted into the back of the hand of a patient 20. A stripof adhesive tape 30 that has been previously torn from a roll is thenplaced underneath the intravascular catheter with the adhesive sidefacing up. Referring to FIG. 3, the next step is to fold one side of thetape over so the adhesive side makes contact with the patient's skin.Some medical professionals cross the tape over at an angle to the hub asshown while others fold it over parallel to the hub. Referring to FIG.4, the next step is to fold the other side of the tape over. Again, somemedical professionals fold the other side parallel to the hub. The finalstep is to place a cover over the catheter and the tape.

A variety of other catheters and tubes in the medical field are securedin the same way, including nasogastric tubes, urinary catheters,intrauterine pressure catheters, central venous lines, and the like. Itis understood that the term intravascular catheter refers to thisgeneral class of the catheters and tubes that are conventionally securedto the patient's body with adhesive tape.

There are several disadvantages associated with the conventional methodof securing the intravascular catheter. First, the medical professionalshould, but does not always, wear latex or latex-free gloves during theprocess. Handling adhesive tape is very difficult when wearing gloves.Second, there are several risks of contamination. The use of a singleroll of adhesive tape by different medical professionals and ondifferent patients presents one risk. An even greater risk arisesbecause medical professionals typically tear off a strip of tape andstick it temporarily on a nearby surface before inserting theintravascular catheter. The strip of tape is then retrieved for use. Thestrip carries with it contamination from the surface. The problem ofcontamination is widely recognized in the medical profession. See, forexample, “Guidelines for the Prevention of IntravascularCatheter-Related Infections” published in the Aug. 9, 2002, edition ofthe Morbidity and Mortality Weekly Report of the Center for DiseaseControl.

Because of the disadvantages associated with the conventional method ofsecuring the intravascular catheter with conventional adhesive tape, anumber of specialized products have been disclosed for holdingintravascular catheters. For example, Lacko et al., U.S. Pat. No.4,490,141, issued Dec. 25, 1984, discloses an adhesive device having aslot, a hole, and a hingedly connected portion. The device has threecover sheets that are sequentially removed when using the device.Beisang, III, U.S. Pat. No. 5,087,248, issued Feb. 11, 1992, disclosesan adhesive patch having four covers that are sequentially removed whenusing the device. The Lacko et al. device and the Beisang, III devicecontain cover sheets that have the same shape and size as the adhesivestrips, making it very difficult to remove them while wearing gloves.The Lacko et al. device and the Beisang, III device also must beprecisely oriented relative to the IV tube.

Accordingly, a demand exists for an intravascular catheter adhesivedevice that can be easily used by a medical professional wearing latexor latex-free gloves and that reduces the risk of contamination. Thereis also a need for an easier, faster and less irritating way forremoving catheters which are taped to the skin of a patient.

SUMMARY OF THE INVENTION

The goal of this invention is to provide an improved intravascularcatheter adhesive tape. The intravascular catheter adhesive tape of thisinvention can easily be used by a medical professional wearing latex orlatex-free gloves. The intravascular catheter adhesive tape securelyholds an intravascular catheter in place and reduces the risk ofcontamination. The adhesive tape of this invention also offers asimpler, quicker and gentler way for removing catheters which are tapedto the skin of a patient.

The present invention more specifically discloses an adhesive tape tosecure an intravascular catheter to the skin of a patient at anintravascular site comprising: (a) a strip of tape having adhesive onall of one side, the strip of tape having a length of about 15 to about300 mm and width of about 4 to about 30 mm; (b) two removable coversaffixed near the ends of the adhesive side of the strip, wherein theremovable covers are separated from each other by a centrally locatedportion of the strip of tape; (c) a third removable cover affixed to thecentral portion of the adhesive side of the strip of tape; (d) a firsttab affixed near one end of the non-adhesive side of the strip; and (e)a second tab affixed near the other end of the non-adhesive side of thestrip.

The present invention also specifically discloses an adhesive tape tosecure an intravascular catheter to the skin of a patient at anintravascular site comprising: (a) a strip of tape having adhesive onall of one side except for portions at the ends, the strip of tapehaving a length of about 15 to about 300 mm and width of about 4 toabout 30 mm; (b) two removable covers affixed near the ends of theadhesive side of the strip, wherein the removable covers are separatedfrom each other by a centrally located portion of the strip of tape; and(c) a third removable cover affixed to the central portion of theadhesive side of the strip of tape.

The adhesive tape of this invention comprises: (a) a strip of tapehaving adhesive on all of one side except for portions at the ends, thestrip of tape having a length of about 50 to 150 mm and width of about 5to 20 mm; (b) two removable covers affixed near the ends of the adhesiveside of the strip, the covers overhanging the non-adhesive portions atthe ends of the strip and overhanging the sides of the strip and beingseparated from each other such that a centrally located portion of theadhesive is exposed; and (c) a third removable cover affixed to thecentral portion of the adhesive side of the strip, the cover overhangingthe two removable covers and overhanging the sides of the strip.

The present invention also further discloses a sterile intravascularstarter kit, said kit being comprised of an adhesive tape for anintravascular catheter, a tourniquet, a gauze pad, an antiseptic skinpreparation device, and a clear occlusive dressing, wherein the adhesivetape for the intravascular catheter comprises: (a) a strip of tapehaving adhesive on at least a portion of one of its side, the strip oftape having a length of about 15 to about 300 mm and width of about 4 toabout 30 mm; (b) two removable covers affixed near the ends of theadhesive side of the strip, wherein the removable covers are separatedfrom each other by a centrally located portion of the strip of tape; and(c) a third removable cover affixed to the central portion of theadhesive side of the strip of tape.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a perspective view of a prior art intravascular catheter.

FIG. 2 is a perspective view of a first step in the catheter beingsecured to a patient.

FIG. 3 is a perspective view of a second step in the catheter beingsecured to a patient.

FIG. 4 is a perspective view of a third step in the catheter beingsecured to a patient.

FIG. 5 is a perspective view of the adhesive side of the intravascularcatheter adhesive tape of this invention with all three removable coversin place.

FIG. 6 is a perspective view of the intravascular catheter adhesive tapeof this invention with the third removable cover removed.

FIG. 7 is a perspective view of the intravascular catheter adhesive tapeof this invention with the first and second removable covers removed.

FIG. 8 is a perspective view of the non-adhesive side thereof with allthree removable covers in place.

FIG. 9 is a perspective view of the preferred embodiment of the adhesiveside of the intravascular catheter adhesive tape of this invention withall three removable covers in place.

FIG. 10 is a perspective view of the preferred embodiment of theadhesive tape of this invention with the third removable cover removed.

FIG. 11 is a perspective view of the preferred embodiment of theadhesive tape with the first and second removable covers removed.

FIG. 12 is a perspective view of the non-adhesive side of the preferredembodiment of the adhesive tape with all three removable covers inplace.

FIG. 13 is a cross-sectional view of the adhesive tape of thisinvention.

FIG. 14 is a perspective view of a highly preferred embodiment of theadhesive side of the intravascular catheter adhesive tape of thisinvention with all three removable covers in place.

FIG. 15 is a perspective view of a highly preferred embodiment of theintravascular catheter adhesive tape of this invention with the thirdremovable cover removed.

FIG. 16 is a perspective view of a highly preferred embodiment of theintravascular catheter adhesive tape of this invention with the firstand second removable covers removed.

FIG. 17 is a perspective view of a highly preferred embodiment of thenon-adhesive side thereof.

FIG. 18 is an exploded side view of a highly preferred embodiment of theadhesive tape of this invention with all three removable covers inplace.

DETAILED DESCRIPTION OF THE INVENTION

This invention is best understood by reference to the drawings. Theintravascular catheter adhesive tape 40 of this invention is shown inFIGS. 5 through 8. The adhesive tape comprises a strip of tape 41 havingadhesive on one side with two removable end covers 42 and 43 affixednear the ends of the adhesive side and a third removable center cover 44affixed to the central portion of the adhesive side. The adhesive sideof the tape is shown in FIGS. 5 through 7 and the non-adhesive side ofthe tape is shown in FIG. 8. The components of the intravascularcatheter adhesive tape are discussed in detail below.

The strip of tape 41 has an adhesive on one of its sides and isnon-adhesive on the other side. In one embodiment of this inventionadhesive covers the entire surface of one side of the tape. However, theadhesive is preferably on only a portion of one side of the tape with asmall area at each end of the tape being free of exposed adhesive. Asbest seen in FIG. 7, most of the side is adhesive as represented by thedotted area. The two ends of the tape 41 a and 41 b are not adhesive.These ends either lack adhesive or have non-removable covers on top ofadhesive. In either case in this preferred embodiment of the inventionadhesive is not present on the surface of the tape 41 (even after theremovable end covers have been removed from the tape). The length of thenon-adhesive portions of the tape 41 a and 41 b is not particularlycritical so long as the length of the non-adhesive portion is greatenough for a healthcare professional to grip the end of the tape afterit has been affixed to the skin of a patient. However, the twonon-adhesive ends of the tape 41 a and 41 b typically have a length ofabout 2 mm to about 15 mm and more typically have a length of about 5 mmto about 12 mm. The material of the tape and the type of adhesive arenot critical. Conventional plastics and fabrics are suitable andconventional adhesives are also suitable. The strip generally has alength of about 15 mm to 300 mm, preferably has a length of about 20 mmto 200 mm, and most preferably has a length of 50 mm to 150 mm. Thestrip normally has a width of about 4 mm to 50 mm, preferably has awidth of about 4 mm to 25 mm, and most preferably has a width of 5 mm to10 mm.

Two removable end covers 42 and 43 are affixed near the ends of theadhesive side of the strip. The material of the covers is not critical.Conventional plastics and papers are suitable. The end covers canoptionally overhang the non-adhesive portions of the strip by about 5 mmand optionally overhang the sides of the strip by about 1 mm to 3 mm.The end covers are generally separated by about 10 mm to 15 mm so that acentrally located portion of the adhesive can be exposed by removal ofthe removable center cover 44. The end covers are typically separated bya length that is between 2% and 33% of the overall length of theadhesive tape 40. The end covers are more typically separated by alength that is between 10% and 20% of the overall length of the adhesivetape 40. As best seen in FIG. 6, the inner ends of the covers arepreferably folded back to form cover tabs 50 for ease of gripping afterthe center cover has been removed.

The center cover 44 is affixed to the central portion of the adhesiveside of the strip. It optionally overhangs the end covers by about 5 mmso that it can be removed first without dislodging the end covers. Thecenter cover can be made of the same type of materials as the endcovers. The center cover optionally overhangs the sides of the strip byabout 2 to 5 mm, preferably slightly more than the end covers.

In another embodiment of this invention, the removable covers aredesigned in a manner where they do not overhang the sides of the strip.This embodiment of the invention is depicted in FIG. 9, FIG. 10, FIG. 11and FIG. 12. In this embodiment of the invention, tabs are affixed tothe removable covers for easy removal from the adhesive side of thestrip eliminating the need for the removable covers to overhang thesides of the strip. FIG. 9 shows tabs 64 which are affixed to theremovable covers 63 affixed to the ends of the adhesive side of thetape. Tab 65 is shown as being affixed to the central cover 61 which isshown as covering the centrally located portion of the adhesive side ofthe strip. FIG. 10 shows the adhesive side of the strip after the centercover 61 has been removed exposing the adhesive 66 located in the centerof the strip. Tabs 64 can be grasped by the healthcare provider toremove the removable cover 62 and removable cover 63 covering theadhesive at the two opposite ends of the strip. After end cover 62 andend cover 63 have been removed, the adhesive 66 is exposed on the entireadhesive side of the strip as depicted in FIG. 11. The non-adhesiveportion of the strip which is on the opposite side of the tape from theadhesive portion is depicted in FIG. 12. In this embodiment of theinvention, the adhesive covers the entire length of the adhesive side ofthe tape. In this case, tabs 68 are affixed to each end of thenon-adhesive side of the tape 67 to facilitate easy removal by thehealthcare provider at the time that the catheter is removed from theinjection site.

FIG. 13 is a cross-sectional view depicting this embodiment of theinvention. In FIG. 13, the non-adhesive side of the tape 67 is shownwith tabs 68 located near the ends of the tape for easy removal. In thiscross-sectional view of the tape, the adhesive 66 is sandwiched betweenthe non-adhesive side of the tape 67 and the centrally located removablecover 61, and the removable covers 62 and 63 located at the ends of thetape. A first tab 64 and a second tab 65 are affixed to the removablecovers to facilitate easy removal.

It should be noted that removable cover 62 abuts the centrally locatedremovable cover 61 at abutment point 69 so that the adhesive iscompletely covered. The other end of the centrally located removablecover 61 is abutted by removable cover 63 at a second abutment point 70.

In another highly preferred embodiment of this invention, the removablecovers are designed in a manner where they do not overhang the sides ofthe strip. This embodiment of the invention is depicted in FIG. 14, FIG.15, FIG. 16, FIG. 17, and FIG. 18. As can be seen in FIG. 14, in thisembodiment of the invention, center cover 61 is long enough to extendover end cover 62 and end cover 63 to the extent that the tabs 71 areeasy to grasp to remove the center cover 61 from the tape. In thisembodiment of invention the center cover 61 will preferably overhang theend covers by at least about 3 mm so that it can be removed firstwithout dislodging the end covers. For instance, the center cover 61 canoverhang the end covers by 4 mm to 25 mm and will preferably overhangthe end covers by 5 mm to 15 mm. It is typically most preferred for thecenter cover 61 to overhand end cover 62 and end cover 63 by 8 mm to 12mm. After the center cover 61 is removed, the adhesive 66 is exposed inthe center portion of the tape as shown in FIG. 15.

After the removable center cover 61 is removed and the adhesive 66 isexposed, removable end cover 62 and removable end cover 63 can then beeasily removed by grasping cover tabs 50 which are typically simply aportion of removable end cover 62 and removable end cover 63 which arefolded back toward the ends of the adhesive tape 40. At each end of theadhesive tape 40 a non-adhesive tab 72 can be applied over the adhesive66 as shown in FIG. 16 to allow for the tape to be easily removed fromthe skin of the patient at the time that the catheter is ultimatelyremoved. These non-adhesive tabs 72 are typically a thin sheet made ofpaper, plastic, or fabric that will adhere to the adhesive and preventthe adhesive from sticking to other objects, such as a patient's skin, ahealth provider's gloves, or other foreign objects. As has already beenexplained, the tape can also optionally be manufactured in a mannerwhereby the adhesive 66 is simply not applied to the ends of the tape(see 41 a and 41 b in FIG. 7). In this highly preferred embodiment ofthe invention the non-adhesive side of the tape 67, as shown in FIG. 17,is essentially a continuous strip of plastic, fabric or paper that doesnot have any exposed adhesive on its surface.

The design of this highly preferred embodiment of this invention is alsoillustrated in FIG. 18 which is an exploded side view of theintravascular catheter adhesive tape. As can be seen from FIG. 18 theadhesive 66 is applied onto a base strip of tape 41. The base strip oftape will typically be a continuous plastic film, fabric, or paper thathas sufficient tensile strength to provide the adhesive tape with therequired physical properties. For instance, the base strip canoptionally be an extruded plastic film or a plastic film of biaxialorientation. Non adhesive tabs 72 are applied directly to the adhesivelayer 66 to cover all of the adhesive located at the ends of the tape.Removable end cover 62 and removable end cover 63 are applied at theends of the tape to cover the non-adhesive tabs 72 and the adhesive 66so as to leave only the adhesive located in the center of the tapeexposed. Removable end covers 62 and removable end covers 63 are foldedback upon themselves to form cover tabs 50. The adhesive 66 located inthe center portion of the tape is covered with removable center cover 61which covers the adhesive 66 located in the center portion of the tapeand also extends over cover tabs 50 so that removable center cover 61can be easily grasped and removed without disturbing end cover 62 or endcover 63.

The use of the intravascular catheter adhesive tape can now beconsidered. After an intravascular catheter is inserted into thepatient, the adhesive tape is held with the adhesive side facing up(away from the patient). The center cover is removed and the adhesivetape is centered under the hub of the catheter so that the exposedadhesive is directly below the hub. The hub is gently pressed downagainst the exposed adhesive. One of the end covers is then removed andthat end of the tape is folded over the catheter. The other end cover isthen removed and that end of the tape is folded over the catheter.

The covers are easy to grasp by a medical professional wearing gloves.This is by virtue of the fact that the covers are equipped with tabs oroverhang the sides of the tape, in either case making it easy for thehealthcare provider to grasp and remove the covers from the tape. Moreimportantly, the adhesive tape of this invention eliminates the need totemporarily stick the tape to a potentially contaminated surface priorto being used to affix the catheter to an intravascular site on the skinof a patient. Since there is no need to bring the adhesive tape intocontact with a contaminated surface, the risk of catheter-relatednosocomial infection is greatly reduced. The adhesive tape of thisinvention also eliminates any temptation that a healthcare provider mayhave to use his or her bare hands in affixing the catheter to anintravascular site because the adhesive tape of this invention can beeasily used wearing gloves. This protects both the patient and thehealthcare provider from potential risk. Also, a catheter can be securedto the skin of a patient utilizing the adhesive tape of this inventionwith only one hand which offers the advantage of leaving the healthcareprovider with a “free” hand to stabilize the catheter at theintravascular site.

The adhesive tape of this invention can also be easily removed from apatient by virtue of the fact that it can be easily and firmly graspedby a healthcare provider for removal. This is advantageous in that themedical professional is not required to “dig” at the end or side ofconventional tape to remove it from the skin. The digging actionassociated with removal of conventional tape is irritating to mostpatients and can be harmful to patients with fragile skin, such as theelderly and neonates. Since the adhesive tape of this invention has tabsthat can be easily gripped for removal from the skin of the patient, theremoval procedure is quicker and far less irritating.

This invention is illustrated by the following examples that are merelyfor the purpose of illustration and are not to be regarded as limitingthe scope of the invention or the manner in which it can be practiced.Unless specifically indicated otherwise, parts and percentages are givenby weight.

COMPARATIVE EXAMPLE 1

Intravascular catheters are commonly inserted into a blood vessel on theback of a human patient's hand utilizing aseptic techniques. In suchprocedures, the healthcare provider typically wears gloves which arepreferably sterile for both his or her protection and the protection ofthe patient. The first step of the process normally involves placing asterile towel under the patient's arm or hand. Then, the healthcareprovider sequentially tears several pieces of tape from a roll of tapein appropriate lengths for subsequent use in affixing the catheter tothe intravascular site. As these strips of tape are torn from the rollof tape, the healthcare provider typically sticks the end of each of thestrips to a convenient surface to allow the tape strips to hang so thatthey are accessible. This surface could be an I.V. pole, bed rail,bedside table or other convenient object nearby.

In the next step of the conventional procedure, a tourniquet is appliedto the patient's arm. The healthcare provider then cleans and sterilizesthe site where the catheter will be inserted into the patient with anantiseptic skin prep, such as an antiseptic swab. The antiseptic isallowed to dry. In such a procedure, an integral stylet is then insertedinto a blood vessel on the back of the patient's hand by utilizing thesharp needle of the stylet to puncture through the patient's skin andother tissue to allow the stylet to enter the blood vessel. The needleis then removed from the patient's body while allowing the end of theintravascular catheter to remain in the blood vessel. At this point, itis typically necessary to apply pressure to the catheter to keep bloodfrom flowing through the catheter.

After the needle has been removed the hub of the catheter is affixed tothe skin of the patient at the intravascular site. During thisprocedure, the healthcare provider typically holds the hub of theintravascular catheter to the site of insertion with one hand and withhis or her free hand retrieves one piece of previously torn tape andslips it adhesive side up underneath the hub of the catheter. Thehealthcare provider then pulls one free end of the tape over thecatheter hub and wraps it over the catheter hub to stick the adhesive tothe patient's skin. Then, the healthcare provider wraps the other end ofthe tape over the opposite side of the catheter hub and sticks it to thepatient's skin. The intravenous tubing line is then connected to thecatheter hub and the tourniquet is released. Ai this point, additionalstrips of tape can be used to more firmly adhere the catheter to theintravascular site. Then, a clear occlusive dressing is placed over thetop of the intravascular site.

The biggest problem with this conventional procedure is that the tapeutilized in adhering the catheter to the intravascular site can becontaminated, exposing the patient to the risk of nosocomial infection.Another inherent problem with this procedure is that the tape can getstuck to the glove of the healthcare provider. In one unfortunatescenario that occurs from time to time, the catheter can be accidentallyremoved from the intravascular site by virtue of being unknowingly stuckto the healthcare provider's glove. After the catheter has served itspurpose, it is, of course, necessary to remove it from the patient. Theremoval procedure can be unpleasant and can cause skin irritation incertain patients. For instance, in cases where the tape adhering theintravascular catheter is firmly stuck to the skin of the patient, it isfrequently necessary for the healthcare provider to dig at the ends ofthe tape to establish a point where the tape can be grasped for removal.This digging action can scratch or irritate the skin of patients havingsensitive skin such as those with skin conditions and elderly andnewborn patients.

EXAMPLE 2

The procedure utilized in Comparative Example 1 for inserting a catheterinto a blood vessel on the back of a patient's hand can be doneutilizing the adhesive tape and procedure of this invention. In thisprocedure, the healthcare provider first puts on sterile gloves for bothhis or her protection and the protection of the patient. Then a steriletowel is placed under the patient's arm or hand. Next, a tourniquet isapplied to the patient's arm. The healthcare provider then cleans andsterilizes the site where the catheter will be inserted into the patientwith an antiseptic skin prep such as antiseptic swab. The antiseptic isallowed to dry. In such a procedure an integral stylet is then insertedinto a blood vessel on the back of the patient's hand by utilizing thesharp needle of the stylet to puncture through the patient's skin andother tissue to allow the stylet to enter the blood vessel. The needleis then removed from the patient's body while allowing the end of theintravascular catheter to remain in the blood vessel.

At this point, it is typically necessary to apply pressure to thecatheter to keep blood from flowing through the catheter. After theneedle has been removed the hub of the catheter is affixed to the skinof the patient at the intravascular site. During this procedure, thehealthcare provider typically holds the hub of the intravascularcatheter to the site of insertion with one hand and with his or her freehand removes the third removable cover affixed to the central portion ofthe adhesive side of the strip of tape. After the adhesive is exposed,the central portion of the adhesive tape is slipped with the adhesiveside up underneath the hub of the catheter. The healthcare provider thenremoves the removal cover affixed to one end of the adhesive tape ofthis invention, pulls that end of the tape over the catheter hub andwraps it over the catheter hub to stick the adhesive to the patient'sskin. Then, the healthcare provider removes the removable cover from theother end and wraps that end of the tape over the opposite side of thecatheter hub and sticks it to the patient's skin. The intravenous tubingline is then connected to the catheter hub and the tourniquet isreleased. Then, a clear occlusive dressing is placed over the top of theintravascular site.

Optionally, the healthcare provider can further secure the intravascularcatheter to the patient's skin by applying a second adhesive tape ofthis invention to the catheter at the point where it comes out fromunder the clear occlusive dressing. This is done by first removing thecover from the central portion of the adhesive side of the adhesive tapeof this invention. The exposed adhesive is then gently pushed onto thetop of the catheter at the point where it exits the clear occlusivedressing. Then, the cover is removed from one of the ends of theadhesive tape and the exposed adhesive is gently pushed into contactwith the clear occlusive dressing and the patient's skin. Subsequently,the cover is removed from the other end of the adhesive tape and it isthen gently pushed into contact to adhere to the clear occlusivedressing and the patient's skin.

The benefits associated with utilizing the adhesive tape of thisinvention include easy application with one hand with minimized risk ofthe tape accidentally sticking to the gloves of a healthcare provider.This accordingly reduces the risk of the catheter being accidentallypulled out of the patient due to it being accidentally stuck to theglove of the healthcare provider. Since it can be easily used whilewearing gloves it also reduces the temptation of healthcare providersperforming all or part of the procedure with bare hands which reducesthe risk of infection for both the healthcare provider and the patient.Thus, catheters can be firmly secured to an intravascular site withoutthe risk of contamination. The risk of the hub or tape becomingcontaminated by contact with foreign objects is virtually eliminated.Aseptic techniques are utilized during the entire procedure of affixingthe catheter to the intravascular site with sterility preferably beingmaintained.

After the catheter has served its purpose, it is, of course, necessaryto remove it from the patient. The adhesive tape of this invention canbe easily removed from patients in a more pleasant manner that causesless skin irritation. This is because the adhesive tape of thisinvention includes non-adhesive end portions or tabs that allow thehealthcare provider to firmly grasp the adhesive tape for removal fromthe patient's skin without the need to dig at the ends of the tape toestablish a point where the tape can be grasped for removal. This makesthe removal procedure easier and faster for the healthcare provider.More importantly, it eliminates the need for the healthcare provider todig at the ends or sides of the tape which greatly reduces theincidences of scratching or irritating fragile or delicate skin.

EXAMPLE 3

The procedure utilized in Comparative Example 1 for inserting a catheterinto a blood vessel on the back of a patient's hand can be doneutilizing a sterile intravascular start kit that includes the adhesivetape of this invention. In such a procedure, the healthcare provideropens the sterile intravascular start kit and dons the sterile glovesthat are packaged in the kit. Then a sterile towel is removed from thekit and placed under the patient's arm or hand.

Next, a sterile tourniquet is taken from the kit and applied to thepatient's arm. The healthcare provider then removes an antiseptic skinprep, such as an antiseptic swab, from the kit and used it to clean andsterilize the site where the catheter will be inserted into the back ofthe patient's hand. The antiseptic is then allowed to dry. In such aprocedure an integral stylet is then inserted into a blood vessel on theback of the patient's hand by utilizing the sharp needle of the styletto puncture through the patient's skin and other tissue to allow thestylet to enter the blood vessel. The needle is then removed from thepatient's body while allowing the end of the intravascular catheter toremain in the blood vessel.

At this point, it is typically necessary to apply pressure to thecatheter to keep blood from flowing through the catheter. After theneedle has been removed the hub of the catheter is affixed to the skinof the patient at the intravascular site. During this procedure, thehealthcare provider typically holds the hub of the intravascularcatheter to the site of insertion with one hand and with his or her freehand removes the sterile adhesive tape of this invention from the kit.The healthcare provider then removes the third removable cover affixedto the central portion of the adhesive side of the strip of tape withhis or her free hand. After the adhesive is exposed, the central portionof the adhesive tape is slipped with the adhesive side up underneath thehub of the catheter. The healthcare provider then removes the removalcover affixed to one end of the adhesive tape of this invention thenpulls that end of the tape over the catheter hub and wraps it over thecatheter hub to stick the adhesive to the patient's skin. Then, thehealthcare provider removes the removable cover from the other end andthen wraps that end of the tape over the opposite side of the catheterhub and sticks it to the patient's skin. The intravenous tubing line isthen connected to the catheter hub and the tourniquet is released. Then,a clear occlusive dressing is placed over the top of the intravascularsite.

Optionally, the healthcare provider can remove a second sterile adhesivetape from the kit and further secure the intravascular catheter to thepatient's skin by applying it to the catheter at the point where itcomes out from under the clear occlusive dressing. This is done by firstremoving the cover from the central portion of the adhesive side of theadhesive tape of this invention. The exposed adhesive is then gentlypushed onto the top of the catheter at the point where it exits theclear occlusive dressing. Then, the cover is removed from one of theends of the adhesive tape and the exposed adhesive is gently pushed intocontact with the clear occlusive dressing and the patient's skin.Subsequently, the cover is removed from the other end of the adhesivetape and it is then gently pushed into contact to adhere to the clearocclusive dressing and the patient's skin.

The most significant benefits associated with utilizing the sterileintravascular start kit of this invention include convenience, ease ofuse, and reduced risk of contamination. Because the sterileintravascular start kit includes at least one sterile adhesive tape ofthis invention a catheter can be easily affixed to an intravascular sitewith one hand with minimized risk of the tape accidentally sticking tothe gloves of a healthcare provider. This accordingly reduces the riskof the catheter being accidentally pulled out of the patient due to itbeing accidentally stuck to the glove of the healthcare provider. Sinceit can be easily used while wearing gloves it also reduces thetemptation of healthcare providers performing all or part of theprocedure with bare hands which reduces the risk of infection for boththe healthcare provider and the patient. Thus, catheters can be firmlysecured to an intravascular site without the risk of contamination. Therisk of the hub or tape becoming contaminated by contact with foreignobjects is virtually eliminated. During the entire procedure of affixingthe catheter to the intravascular site sterility is maintained.

After the catheter has served its purpose, it is, of course, necessaryto remove it from the patient. The adhesive tape of this invention canbe easily removed from patients in a more pleasant manner that causesless skin irritation. This is because the adhesive tape of thisinvention includes non-adhesive end portions or tabs that allow thehealthcare provider to firmly grasp the adhesive tape for removal fromthe patient's skin without the need to dig at the ends of the tape toestablish a point where the tape can be grasped for removal. This makesthe removal procedure easier and faster for the healthcare provider.More importantly, it eliminates the need for the healthcare provider todig at the ends or sides of the tape which greatly reduces theincidences of scratching or irritating fragile or delicate skin.

While certain representative embodiments and details have been shown forthe purpose of illustrating the subject invention, it will be apparentto those skilled in this art that various changes and modifications canbe made therein without departing from the scope of the subjectinvention.

1. A sterile intravascular starter kit, said kit being comprised of an adhesive tape for an intravascular catheter, a tourniquet, a gauze pad, an antiseptic skin preparation device, and a clear occlusive dressing, wherein the adhesive tape for the intravascular catheter comprises: (a) a strip of tape having adhesive on at least a portion of one of its side, the strip of tape having a length of about 15 mm to about 300 mm and width of about 4 mm to about 30 mm; (b) two removable covers affixed near the ends of the adhesive side of the strip, wherein the removable covers are separated from each other by a centrally located portion of the strip of tape; and (c) a third removable cover affixed to the central portion of the adhesive side of the strip of tape.
 2. A sterile intravascular starter kit as specified in claim 1 wherein the two removable covers affixed near the ends of the adhesive side of the strip overhang the sides of the strip and wherein the third removable cover affixed to the central portion of the adhesive side of the strip overhangs the sides of the strip.
 3. A sterile intravascular starter kit as specified in claim 1 wherein the two removable covers affixed near the ends of the adhesive side of the strip are flush with the sides of the strip and wherein the third removable cover affixed to the central portion of the adhesive side of the strip is flush with the sides of the strip.
 4. A sterile intravascular starter kit as specified in claim 3 wherein the removable covers affixed near the ends of the adhesive side of the strip include non-adhesive tabs which are situated under the third removable cover affixed to the central portion of the adhesive side of the tape.
 5. A sterile intravascular starter kit as specified in claim 1 wherein the antiseptic skin preparation device is an antiseptic applicator selected from the group consisting of an antiseptic gauze, an antiseptic towelette, an antiseptic swab, an antiseptic spray, and an antiseptic sponge.
 6. A sterile intravascular starter kit as specified in claim 1 wherein said kit includes at least two gauze pads.
 7. A sterile intravascular starter kit as specified in claim 1 wherein said kit includes at least two adhesive tapes for an intravascular catheter.
 8. A sterile intravascular starter kit as specified in claim 1 wherein said kit is further comprised of a sterile waterproof sheet.
 9. A sterile intravascular starter kit as specified in claim 1 wherein said kit is further comprised of a pair of sterile gloves.
 10. A sterile intravascular starter kit as specified in claim 1 wherein said kit is further comprised of an identification label wherein the label provides the date and time of insertion of the IV.
 11. A sterile intravascular starter kit as specified in claim 1 wherein the strip of tape has a length which is within the range of 20 mm to 200 mm.
 12. A sterile intravascular starter kit as specified in claim 1 wherein the strip of tape has a width which is within the range of 4 mm to 25 mm.
 13. A sterile intravascular starter kit as specified in claim 1 wherein the strip of tape has a length which is within the range of 50 mm to 150 mm.
 14. A sterile intravascular starter kit as specified in claim 1 wherein the strip of tape has a width which is within the range of 5 mm to 20 mm.
 15. A sterile intravascular starter kit as specified in claim 1 wherein the centrally located portion of the strip of tape has a length which is within the range of 2% to 33% of the total length of the strip of tape.
 16. A sterile intravascular starter kit as specified in claim 1 wherein the centrally located portion of the strip of tape has a length which is within the range of 10% to 20% of the total length of the strip of tape.
 17. A sterile intravascular starter kit as specified in claim 5 wherein said kit is further comprised of a sterile towel.
 18. A sterile intravascular starter kit as specified in claim 1 wherein the adhesive side of the strip of tape lacks adhesive at its ends.
 19. A sterile intravascular starter kit as specified in claim 1 wherein the adhesive side of the strip of tape has non-removable covers covering adhesive at each of its ends.
 20. A sterile intravascular starter kit, said kit being comprised of an adhesive tape for an intravascular catheter, a tourniquet, a gauze pad, an antiseptic skin preparation device, and a clear occlusive dressing, wherein the adhesive tape for the intravascular catheter comprises: (a) a strip of tape having adhesive on all of one side, the strip of tape having a length of about 15 mm to about 300 mm and width of about 4 mm to about 30 mm; (b) two removable covers affixed near the ends of the adhesive side of the strip, wherein the removable covers are separated from each other by a centrally located portion of the strip of tape; (c) a third removable cover affixed to the central portion of the adhesive side of the strip of tape; (d) a first tab affixed near one end of the non-adhesive side of the strip; and (e) a second tab affixed near the other end of the non-adhesive side of the strip. 